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CH036640 CHASE BREXTON HEALTH SERVICES, INC (Active)
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Main Details
Name
CHASE BREXTON HEALTH SERVICES, INC
Subdivision Name
Chase Brexton Health Services, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011410
340B ID
CH036640
Grant Number
H80CS00734
Additional Details
Current Program Status
Active
Registration Date
2/15/2006
Participating Start Date
4/1/1997
Participating Approval Date
2/15/2006
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Chase Brexton Health Care
Eric Turnbaugh, CFO
(410) 837-2050 Ext: 1148
Primary Contact
Chase Brexton Health Care
Jeffrey Allen Cywinski, Director of Pharmacy
(410) 837-2050 Ext: 1115
Addresses
Street Address
1111 North Charles Street
Baltimore, MD 21201-5505
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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REPLACES FQHCLA047. 7/22/11 - Changed AO and contact info from David Shippe.
07/22/2011
REPLACES FQHCLA047
02/15/2006
April 2025
April 2025
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